Forms and Office Policies

 

Forms

The following forms were created with the intent to make a visit to the office as easy as possible. Please select the form you want to download, print it, fill it out, and bring it with you to the office.

>> Initial History Questionnaire

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Office Policies and Procedures

The following policies and procedures were created with the intent to make a visit to the office as easy as possible. Please select the click the policy or procedure to get more information.

Policies and Procedures

Most ADHD medications are from a group of medications called stimulants, and are classified as controlled substances by the Drug Enforcement Agency. These medications are carefully regulated and require that certain procedures be followed in order to fill the prescriptions.

Because of the condition and the possible side effects of the medication, children with ADHD need close follow up. WE need to check on how school is going, his/her emotional well being at home and at school, as well as closely monitor his height, weight, and blood pressure.

Your child will need to come to the office about once a month until he/she is stable on the medication and all is going well. After that, we will need to see him in the office every 3-4 months for re-evaluation. If he/she is having any problems at home or at school, or if you have any concerns about his behavior or the medication, please call the office and schedule an appointment, so that we can re-evaluate the medications and/or the dosage to make sure you child’s needs are being met.

Stimulant Medication Procedures for ADD/ADHD

  • You must come to the office and pick up a written prescription (the medication cannot be called in). It is possible to get a 90 day supply of medication, but there are no refills allowed for this type of medication.
  • Please call the office at least 3 days before the medicine runs out so that we can have your prescription ready for you to pick up.
  • Please schedule your office visits at least one month in advance (when you pick up your prescription). We do not schedule ADHD consultations on Saturday, and we cannot guarantee after school appointment times, so please try and check ahead of time to see when your child has off days from school (he/she will need to be seen only 3-4 times each year as long as he/she is doing well on medication). If it is necessary to take your child out of school for an appointment, we will be happy to provide you with a doctor’s note for school. No appointments will be available after 3:00 pm unless they are scheduled at least one month in advance.
  • Please be advised that no prescriptions will be given without the necessary medical checkups…..so make sure you plan ahead.
  • If you need to cancel your child’s ADHD consultation, please do so at least 24 hours in advance so that we can make room for other children to be seen, and to avoid a “missed appointment” charge.

The symptoms of ADD/ADHD are usually treated very successfully with medication…..please help us to take the best possible care of your child’s needs, as well as those of the other patient’s in our practice.

The goal of our office is to give the best care possible to your child and all of our patients. When appointments are scheduled and then not kept we feel your child is not receiving good care. It also takes an appointment away from a potentially sick child that we could have seen sooner but had to schedule at a later time.

There is a $20 charge for missed appointments that are not cancelled 24 hours in advance. If you make a same day sick appointment for your child and need to cancel we ask that you call at least 2 hours ahead of time so that we can use that appointment time to see another child. We do understand that emergencies come up, however we still must require a phone call to let us know you are not going to keep an appointment prior to your appointment time.

If missed appointment fees are not paid or payment arrangements are not made, your family may be dismissed from the practice and asked to transfer their records to another healthcare provider.

We see patients for walk-ins from 7:30am-8:30am Monday-Friday. We want to be able to use this time to see sick patients only, so that children can make it to school and parents can get to work on time.

Who is eligible for a walk-in?

We will see acute sick problems such as, ear aches, sore throats, cough, pink eye, etc. This is not a time that we will be able to see your child for well checks, sports physicals or on going problems.

What if I get there after 8:30am?

If you arrive after 8:30am, we will not be able to see your child as a walk-in patient but will gladly schedule an appointment for that day with one of our providers. Each day we have scheduled appointments for the morning and if we do not make a cut off time for our walk-ins; we would miss our scheduled appointments.

In a constant effort to provide you the best service possible, we hope that our walk-in hours and extended evening hours are beneficial for you.

In the event that we will have to delay the opening of our office, we will change our phone message to say that the office is closed due to weather. If you get this message in the morning wait a while and try to call back. We may need a little extra time to get into the office.

If you get the closed office recording in the afternoon, we didn’t make it into the office or we may have had to close the office early due to extreme weather conditions so that the staff may get home safely. BOTTOM LINE…If we are experiencing bad weather, call before you come into the office to make sure we are here.